| Lapeer Pediatrics, P.c. | |
|
1083 Suncrest Dr Suite-a Lapeer MI 48446-4421 | |
| (810) 245-9700 | |
| (810) 245-9703 |
| Full Name | Lapeer Pediatrics, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1083 Suncrest Dr, Lapeer, Michigan |
| Authorized Official Name and Position | Mohammad Al Harastani (PRESIDENT) |
| Authorized Official Contact | 8102459700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lapeer Pediatrics, P.c. 1083 Suncrest Dr Suite-a Lapeer MI 48446-4421 Ph: (810) 245-9700 | Lapeer Pediatrics, P.c. 1083 Suncrest Dr Suite-a Lapeer MI 48446-4421 Ph: (810) 245-9700 |
| NPI Number | 1265623276 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 02/23/2012 |
| Medicare PECOS PAC ID | 8729168877 |
|---|---|
| Medicare Enrollment ID | O20080102000586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265623276 | NPI | - | NPPES |
| 350D410030 | Other | MI | BLUE CARE NETWORK |
| 526 | Other | MI | PPOM |
| 1026494 | Other | MI | MCLAREN HEALTH PLAN |
| 41A87114 | Other | MI | HEALTH PLUS |
| 8572330001 | Other | MI | CIGNA |
| F76263 | Other | MI | HEALTH ALLIANCE PLAN |
| 0P48210 | Other | MEDICARE PTAN NUMBER | |
| 35-0-44-1237-1 | Other | MI | BCBS |
| 1026494 | Other | MI | MCLAREN HEALTH ADVANTAGE |
| 1619968922 | Medicaid | MI | |
| 5243111 | Other | MI | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4301067273 (Michigan) | Primary |
| Provider Name | Mohammad Al-harastani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619968922 PECOS PAC ID: 3072415272 Enrollment ID: I20071002000368 |
| Provider Name | Katelyn Jo Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700262722 PECOS PAC ID: 3678889896 Enrollment ID: I20150903000161 |
Lapeer Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1794 N Lapeer Rd, Suite A, Lapeer, MI 48446 Phone: 810-245-1800 Fax: 810-245-6944 | |
Rita M Lang Do Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 396 Lake Nepessing Rd, Lapeer, MI 48446 Phone: 810-664-8541 Fax: 810-664-0333 | |
Hisham I Ahmed Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1457 Suncrest Dr, Lapeer, MI 48446 Phone: 810-348-7178 | |
Hamilton Community Health Network, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1570 Suncrest Dr, Lapeer, MI 48446 Phone: 810-667-0500 | |
Arja Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1739 N Saginaw St Ste 104a, Lapeer, MI 48446 Phone: 810-305-0061 Fax: 810-305-3319 | |
Jules Reinhardt D O Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1457 Suncrest Dr, Lapeer, MI 48446 Phone: 810-245-3629 Fax: 810-245-3640 | |
Hurley Health Services Urgent Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1794 N Lapeer Rd, Suite D, Lapeer, MI 48446 Phone: 810-245-1800 Fax: 810-969-4407 |